Outcome predictors of open embolectomy in middle cerebral artery occlusion

Neurological Research
Tetsuyoshi HoriuchiKazuhiro Hongo

Abstract

The purpose of this paper was to analyse the outcome of the patients with acute middle cerebral artery (MCA) occlusion treated by open embolectomy. A clinical chart review was retrospectively conducted for 30 patients who had MCA occlusion and were treated with open embolectomy. According to the Glasgow Outcome Scale, the patients' outcome at discharge is divided in two groups: favorable outcome (good recovery and moderate disability) or unfavorable outcome (severe disability, vegetative state and death). The following variables between the favorable and unfavorable outcomes were analysed: age, sex, Glasgow Coma Scale score on admission, affected side, occlusion site, occlusion time, atrial fibrillation on electrocardiogram, fibrinolysis, aphasia, hemiparesis and hemorrhagic infarction after surgery. The outcomes of 30 patients were favorable in 16 patients (good recovery in nine and moderate disability in seven) and unfavorable in 14 patients (severe disability in 12, vegetative state in one and death in one). The M1 occlusion and fibrinolysis performance were more frequent in the unfavorable outcome group than in the favorable one. Logistic regression analysis with a stepwise method indicated that the only occlusion site was ...Continue Reading

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Citations

Jul 4, 2013·Neurosurgical Review·Tetsuyoshi HoriuchiKazuhiro Hongo
Sep 21, 2010·Experimental & Translational Stroke Medicine·Karsten OvergaardFlemming F Johansen
May 2, 2013·Journal of Neurointerventional Surgery·Jin Sue JeonHeung Cheol Kim
Oct 12, 2011·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·George M IbrahimMichael Tymianski
Jan 1, 2014·Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova·V V Krylov, V A Luk'ianchikov

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